SEC Form 4 · accession 0001039399-17-000073
FORMFACTOR INC · FORM
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Michael W Zellner
Director
Period of report
Sep 1, 2017
Accepted (ET)
Sep 5, 2017 · 6:37 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001039399
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | Sep 1, 2017 | M | 6,000 | $9.31 | A | 63,000 | D | |
| Common Stock | Sep 1, 2017 | S | 3,725 | $15.2597 | D | 59,275 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Non-Qualified Stock Option (right to buy)F1 | $9.31 | Sep 1, 2017 | M | 6,000 | D | — | Apr 13, 2018 | Common Stock | 6,000 | 0 | D |
Explanation of responses
- F1The Stock Options were granted pursuant to the Issuer's 2002 Equity Incentive Plan and was fully vested on April 13, 2014